Organization
RESTORATIVE HEALTH CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA WISNIEWSKI (OFFICE MANAGER)
(630) 942-1234
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD STE A109, GLEN ELLYN, IL 60137-5846
(630) 942-1234
Mailing address
800 ROOSEVELT RD STE A109, GLEN ELLYN, IL 60137-5846
(630) 942-1234
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023205770
NPI FOR DOCTOR
—
Enumeration date
10/15/2019
Last updated
02/19/2020
About Stedi
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